دورية أكاديمية
Understanding the burden of food allergy among urban and rural school children from north India.
العنوان: | Understanding the burden of food allergy among urban and rural school children from north India. |
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المؤلفون: | Sehgal S; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA., Gupta N; Department of Pediatric Allergy and Pulmonology, Institute of Child Health, Sir Ganga Ram Hospital, Delhi, India., Dadha P; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA., Nagarajan S; SahaManthran Pvt Ltd, Haryana, India., Gupta R; ADK Jain Eye Hospital, Khekra, Uttar Pradesh, India., Verma MJ; ADK Jain Eye Hospital, Khekra, Uttar Pradesh, India., Ibrahim K; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA., Bilaver LA; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA., Warren C; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA.; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA., Sachdev A; Department of Pediatric Allergy and Pulmonology, Institute of Child Health, Sir Ganga Ram Hospital, Delhi, India., Nimmagadda SR; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA.; Division of Allergy and Immunology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill, USA., Gupta RS; Center for Food Allergy and Asthma Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Ill, USA.; The Mary Ann & J. Milburn Smith Child Health Outcomes, Research and Evaluation Center, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill, USA. |
المصدر: | The World Allergy Organization journal [World Allergy Organ J] 2024 Jun 13; Vol. 17 (6), pp. 100916. Date of Electronic Publication: 2024 Jun 13 (Print Publication: 2024). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101481283 Publication Model: eCollection Cited Medium: Print ISSN: 1939-4551 (Print) Linking ISSN: 19394551 NLM ISO Abbreviation: World Allergy Organ J Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Publication: 2019- : [Atlanta, GA] : Elsevier Inc. Original Publication: [Philadelphia, PA] : Lippincott Williams & Wilkins |
مستخلص: | Background: There is paucity of reliable epidemiological data regarding the burden of food allergy in most developing countries, including India. Objective: To provide current estimates of the prevalence and distribution of food allergy among urban and rural school children aged 6-14 years in Delhi and the National Capital Region (NCR) of Khekra in India. Methods: A cross-sectional study was conducted from January 2022 to February 2023 to enroll school children, 6-14 years, from select urban and rural schools in Delhi and NCR. A questionnaire consisting of questions focused on household environment, early life factors, and pediatric food allergy characteristics was administered by a trained medical researcher to collect parent-proxy data. Univariate statistics were used to describe frequencies, percentages, and 95% confidence intervals for survey items. Results: The estimated prevalence of parent-reported food allergy was 0.8% (95% CI: 0.4-1.5; urban: 0.4%, 95% CI: 0.1-1.1; rural: 1.7%, 95% CI: 0.7-3.5). Fruits such as mango (0.3%, 95% CI: 0.1-0.9), strawberry (0.1%, 95% CI: 0.0-0.7), orange (0.1%, 95% CI: 0.0-0.7), and custard apple (0.1%, 95% CI: 0.0-0.7) were reported only by urban children, while rural children reported yogurt (0.6%, 95% CI: 0.1-1.8) and wheat (0.3%, 95% CI: 0.0-1.3). Both groups reported brinjal (also known as eggplant) and banana, 0.1% (95% CI: 0.0-0.7) of urban and 0.3% (95% CI: 0.0-1.3) of rural, respectively. Overall, commonly reported clinical symptoms were diarrhea and/or vomiting (100%, 95% CI: 76.2-100), abdominal pain (88.9%, 95% CI: 58.6-98.8), and rash/itchy skin (66.7%, 95% CI: 34.8-89.6). Among children with parent reported food allergy, 66.7% (95% CI: 34.8-89.6) of food allergies were physician diagnosed, of which 33.3% were diagnosed via history alone (95% CI:7.7-71.4) while 66.7% (95% CI: 28.6-92.3) were confirmed via skin prick test and/or blood test. Conclusion: The overall prevalence of food allergy is very low in Delhi and Khekra, India. Future work should focus on elucidating the complex interplay of early-life, environmental, genetic, and lifestyle factors to understand the reasons for India's low food allergy burden and improve epidemiological clues to prevention for the nations with higher disease burden. (© 2024 The Authors.) |
References: | Ann Allergy Asthma Immunol. 2017 Jan;118(1):16-20. (PMID: 27864090) Pediatr Pulmonol. 2012 Jul;47(7):666-73. (PMID: 22290763) JAMA Pediatr. 2013 Sep;167(9):808-15. (PMID: 23836309) Int J Environ Res Public Health. 2022 Jan 10;19(2):. (PMID: 35055544) World Allergy Organ J. 2018 Apr 27;11(1):8. (PMID: 29743965) Children (Basel). 2021 Apr 24;8(5):. (PMID: 33923294) Ann Allergy Asthma Immunol. 2020 Nov;125(5):507-516. (PMID: 32702411) Nat Med. 2008 Feb;14(2):170-5. (PMID: 18223654) J Allergy Clin Immunol. 2017 Apr;139(4):1099-1110. (PMID: 28257972) Clin Pediatr (Phila). 2012 Sep;51(9):856-61. (PMID: 22605786) J Allergy Clin Immunol Pract. 2020 Apr;8(4):1349-1358.e16. (PMID: 31857266) Nutrition. 2011 Feb;27(2):253-67. (PMID: 21215925) BMJ Open. 2013 Nov 25;3(11):e003542. (PMID: 24282245) Curr Allergy Asthma Rep. 2024 Mar;24(3):95-106. (PMID: 38214821) Allergy Asthma Immunol Res. 2022 Jan;14(1):21-39. (PMID: 34983105) J Allergy Clin Immunol Pract. 2016 Mar-Apr;4(2):215-20. (PMID: 26755097) Pediatr Pulmonol. 2009 Aug;44(8):793-9. (PMID: 19603531) World Allergy Organ J. 2018 Sep 11;11(1):22. (PMID: 30214659) Pediatrics. 2017 Aug;140(2):. (PMID: 28739655) PLoS One. 2023 Mar 29;18(3):e0282725. (PMID: 36989214) Am J Clin Nutr. 2019 Mar 1;109(Suppl_7):772S-799S. (PMID: 30982870) J Allergy Clin Immunol. 2016 Apr;137(4):998-1010. (PMID: 27059727) PLoS Med. 2014 Mar 11;11(3):e1001611. (PMID: 24618794) Allergol Int. 2016 Oct;65(4):378-387. (PMID: 27543004) J Allergy Clin Immunol Pract. 2021 Jan;9(1):193-199. (PMID: 32771686) World Allergy Organ J. 2020 Aug 01;13(7):100446. (PMID: 32774662) Clin Exp Allergy. 2009 Jan;39(1):101-9. (PMID: 19016802) Nutrients. 2021 Feb 25;13(3):. (PMID: 33668787) J Allergy Clin Immunol. 2011 Mar;127(3):668-76.e1-2. (PMID: 21377036) J Allergy Clin Immunol. 2018 Jan;141(1):41-58. (PMID: 29157945) Clin Exp Allergy. 2018 Apr;48(4):394-402. (PMID: 29315919) Ann Intern Med. 2010 Jun 15;152(12):792-6. (PMID: 20404261) Pediatrics. 2018 Dec;142(6):. (PMID: 30455345) PLoS One. 2015 Jul 02;10(7):e0131804. (PMID: 26134827) Pediatr Clin North Am. 2001 Feb;48(1):125-41, ix. (PMID: 11236720) Pediatr Allergy Immunol. 2004 Jun;15(3):196-205. (PMID: 15209950) Pediatr Clin North Am. 2015 Dec;62(6):1493-507. (PMID: 26456446) World Allergy Organ J. 2019 Dec 02;12(11):100089. (PMID: 31871534) Int J Environ Res Public Health. 2018 Sep 18;15(9):. (PMID: 30231558) N Engl J Med. 2015 Feb 26;372(9):803-13. (PMID: 25705822) J Allergy Clin Immunol. 2017 Jul;140(1):145-153.e8. (PMID: 28514997) Clin Exp Allergy. 2006 Aug;36(8):1011-8. (PMID: 16911357) Pediatrics. 2011 Jul;128(1):e9-17. (PMID: 21690110) Clin Exp Allergy. 2000 Feb;30(2):194-200. (PMID: 10651771) Allergy. 2016 Jul;71(7):1010-9. (PMID: 27297800) World Allergy Organ J. 2017 Dec 12;10(1):41. (PMID: 29270244) Allergy. 2020 Mar;75(3):524-534. (PMID: 31187881) World Allergy Organ J. 2013 Dec 04;6(1):21. (PMID: 24304599) J Allergy Clin Immunol. 2012 May;129(5):1187-97. (PMID: 22464642) J Exp Med. 2018 Jan 2;215(1):91-113. (PMID: 29158374) World Allergy Organ J. 2022 Jun 24;15(7):100663. (PMID: 35833201) Allergy. 2018 Jan;73(1):145-152. (PMID: 28632934) |
فهرسة مساهمة: | Keywords: Children; Cross-sectional studies; Food allergy; India; Prevalence |
تواريخ الأحداث: | Date Created: 20240708 Latest Revision: 20240709 |
رمز التحديث: | 20240709 |
مُعرف محوري في PubMed: | PMC11227004 |
DOI: | 10.1016/j.waojou.2024.100916 |
PMID: | 38974947 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1939-4551 |
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DOI: | 10.1016/j.waojou.2024.100916 |